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作者报告一例下颌骨骨折后伴发颈内动脉血栓而死亡的病例。颈内动脉栓塞发病率不高,迄今仅见近百例报告。因其症状与硬膜外和硬膜下血肿相似,从而增加了在伤后清醒间期诊断该病的困难性。本病预后不良,有40％死亡,在幸存的80％中有永久性神经功能致残。其有效的治疗方法是早期切除血栓和使用类固醇类药物。但脑血管造影已提供了早期诊断和治疗的可能性。一般而言,可能引起颈内动脉血栓有以下四种情况:一,外力直接着力于颈前侧份。二、外力着力于头部突然引起颈部高度
The authors report a case of mandibular fracture with internal carotid artery thrombosis and death. The incidence of carotid artery embolism is not high, so far only see nearly a hundred cases report. Because of its symptoms and epidural and subdural hematoma similar, thereby increasing the difficulty in the diagnosis of the disease during the awake period. The disease has a poor prognosis, 40% of deaths, and permanent neurological disability in 80% of survivors. Its effective treatment is early removal of thrombosis and the use of steroids. However, cerebral angiography has provided the possibility of early diagnosis and treatment. In general, may cause internal carotid artery thrombosis in the following four situations: First, the external force directly focused on the anterior cervical part. Second, the external force focused on the head suddenly caused by the neck height